Neuroanatomy spinal tracts Flashcards

1
Q

in the DCML pathway, what is the 1st order neurone for spinal levels above T6

A

fasciculus cuneatus

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2
Q

in the DCML pathway, what is the 1st order neurone for spinal levels below T6

A

fasciculus gracilis

sits medially to fasciculus cuneatus

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3
Q

where does the DCML pathway decussate

A

within the MEDULLA oblongata, at the nucleus cuneatus or gracilis

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4
Q

where is the synapse between 2nd and 3rd order neurones in the DCML pathway

A

the thalamus

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5
Q

where do the 3rd order neurones travel in the DCML pathway

A

from the thalamus –> the primary sensory cortex

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6
Q

where do the 1st and 2nd order neurones synapse in the DCML

A

the nucleus gracilis and fasciculus

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7
Q

what is the function of the anterior spinothalamic tract

A

crude touch and pressure

Anterior, AJ, touch

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8
Q

what is the function of the lateral spinothalamic tract

A

pain and temperature

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9
Q

where do the 1st and 2nd order neurones synapse in the spinothalamic tract

A

synapse at the tip of the dorsal horn at the SUBSTANTIA GELATINOSA

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10
Q

where does the spinothalamic tract decussate

A

the ventral white commissure

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11
Q

where do 2nd and 3rd order neurones synapse in spinothalamic tract

A

THALAMUS - ventral posterior nucleus

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12
Q

where do the 3rd order neurones travel in the spinothalamic tract

A

thalamus –> primary sensory cortex

post central gyrus

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13
Q

how soon after entering the spinal cord does the spinothalamic pathway decussate

A

the 1st order neurone enters spinal cord, ascends 1 or 2 levels then synapses with the 2nd order neuron, which then goes on to decussate almost immediately

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14
Q

why is the fact the spinothalamic tract decussates very early significant

A

if there an injury to the spinothalamic tract in the spinal cord, it will cause contralateral symptoms as the tract has already decussated

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15
Q

where does the lateral corticospinal tract supply motor function to

A

Lateral corticospinal supplies motor to the Limbs

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16
Q

where does the anterior corticospinal tract supply motor function to

A

Anterior corticospinal supples motor to the Axial muscles

17
Q

where do the pyramidal tracts originate

A

cerebral cortex

18
Q

how many synapses does the corticospinal tract have

A

NONE - therefore, all pathways are described as UMN

19
Q

where does the corticopsinal tract divide into anterior and lateral

A

the caudal aspect of medulla

20
Q

where does the lateral corticospinal tract decussate

A

medulla

21
Q

where does the anterior corticospinal tract decussate

A

ventral horn

22
Q

when is the corticospinal tract most vulnerable to injury

A

as it passes through the internal capsule

23
Q

paralysis of which CN causes deviation of the tongue

A

CN XII

24
Q

does the tongue deviate to the ipsilateral or contralateral side of the lesion

A

tongue deviates to the contralateral side of the lesion

25
Q

where does the rubrospinal tract originate

A

the red nucleus in midbrain

26
Q

where is the primary auditory Cortex located

A

the superior temporal gyrus